Heights University Hospital

All Charges

Charge

Type

Setting

Price

TUBING ASSEMBLED 022234

Facility

$215.25

Hospital Charge Code	270606119
Hospital Revenue Code	272
Min. Negotiated Rate	$27.98
Max. Negotiated Rate	$107.62
Rate for Payer: Aetna Commercial	$64.58
Rate for Payer: Aetna Medicare Advantage	$64.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$54.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$54.89
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$54.89
Rate for Payer: Cigna Commercial	$107.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$27.98
Rate for Payer: Oxford Commercial	$107.62
Rate for Payer: Qualcare PPO/HMO/WC	$32.29
Rate for Payer: UnitedHealthcare Commercial	$107.62

TUBING ASSEMBLY WF

Facility

$567.45

Hospital Charge Code	270665505
Hospital Revenue Code	300
Min. Negotiated Rate	$85.12
Max. Negotiated Rate	$85.12
Rate for Payer: Qualcare PPO/HMO/WC	$85.12

TUBING ASSEMBLY WF

Facility

$567.45

Hospital Charge Code	270665505
Hospital Revenue Code	300
Min. Negotiated Rate	$73.77
Max. Negotiated Rate	$283.73
Rate for Payer: Aetna Commercial	$170.24
Rate for Payer: Aetna Medicare Advantage	$170.24
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$144.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$144.70
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$144.70
Rate for Payer: Cigna Commercial	$283.73
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$73.77
Rate for Payer: Oxford Commercial	$101.00
Rate for Payer: Qualcare PPO/HMO/WC	$85.12
Rate for Payer: UnitedHealthcare Commercial	$114.00

TUBING BLOOD ADMIN S V2560-37

Facility

$19.10

Hospital Charge Code	270040275
Hospital Revenue Code	272
Min. Negotiated Rate	$2.87
Max. Negotiated Rate	$2.87
Rate for Payer: Qualcare PPO/HMO/WC	$2.87

TUBING BLOOD ADMIN S V2560-37

Facility

$19.10

Hospital Charge Code	270040275
Hospital Revenue Code	272
Min. Negotiated Rate	$2.48
Max. Negotiated Rate	$9.55
Rate for Payer: Aetna Commercial	$5.73
Rate for Payer: Aetna Medicare Advantage	$5.73
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$4.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$4.87
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$4.87
Rate for Payer: Cigna Commercial	$9.55
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$2.48
Rate for Payer: Oxford Commercial	$9.55
Rate for Payer: Qualcare PPO/HMO/WC	$2.87
Rate for Payer: UnitedHealthcare Commercial	$9.55

TUBING BLOOD DONOR SET V2220

Facility

$12.85

Hospital Charge Code	270040265
Hospital Revenue Code	272
Min. Negotiated Rate	$1.67
Max. Negotiated Rate	$6.42
Rate for Payer: Aetna Commercial	$3.85
Rate for Payer: Aetna Medicare Advantage	$3.85
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.28
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.28
Rate for Payer: Cigna Commercial	$6.42
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.67
Rate for Payer: Oxford Commercial	$6.42
Rate for Payer: Qualcare PPO/HMO/WC	$1.93
Rate for Payer: UnitedHealthcare Commercial	$6.42

TUBING BLOOD DONOR SET V2220

Facility

$12.85

Hospital Charge Code	270040265
Hospital Revenue Code	272
Min. Negotiated Rate	$1.93
Max. Negotiated Rate	$1.93
Rate for Payer: Qualcare PPO/HMO/WC	$1.93

TUBING BLOODLINES

Facility

$13.75

Hospital Charge Code	270617000
Hospital Revenue Code	272
Min. Negotiated Rate	$1.79
Max. Negotiated Rate	$6.88
Rate for Payer: Aetna Commercial	$4.12
Rate for Payer: Aetna Medicare Advantage	$4.12
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.51
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.51
Rate for Payer: Cigna Commercial	$6.88
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.79
Rate for Payer: Oxford Commercial	$6.88
Rate for Payer: Qualcare PPO/HMO/WC	$2.06
Rate for Payer: UnitedHealthcare Commercial	$6.88

TUBING BLOODLINES

Facility

$13.75

Hospital Charge Code	270617000
Hospital Revenue Code	272
Min. Negotiated Rate	$2.06
Max. Negotiated Rate	$2.06
Rate for Payer: Qualcare PPO/HMO/WC	$2.06

TUBING BLOOD PUMP 2C7613

Facility

$67.50

Hospital Charge Code	270605803
Hospital Revenue Code	272
Min. Negotiated Rate	$10.12
Max. Negotiated Rate	$10.12
Rate for Payer: Qualcare PPO/HMO/WC	$10.12

TUBING BLOOD PUMP 2C7613

Facility

$67.50

Hospital Charge Code	270605803
Hospital Revenue Code	272
Min. Negotiated Rate	$8.78
Max. Negotiated Rate	$33.75
Rate for Payer: Aetna Commercial	$20.25
Rate for Payer: Aetna Medicare Advantage	$20.25
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$17.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$17.21
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$17.21
Rate for Payer: Cigna Commercial	$33.75
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$8.78
Rate for Payer: Oxford Commercial	$33.75
Rate for Payer: Qualcare PPO/HMO/WC	$10.12
Rate for Payer: UnitedHealthcare Commercial	$33.75

TUBING BLOOD SECONDARY PUMP

Facility

$11.95

Hospital Charge Code	270650120
Hospital Revenue Code	270
Min. Negotiated Rate	$1.79
Max. Negotiated Rate	$1.79
Rate for Payer: Qualcare PPO/HMO/WC	$1.79

TUBING BLOOD SECONDARY PUMP

Facility

$11.95

Hospital Charge Code	270650120
Hospital Revenue Code	270
Min. Negotiated Rate	$1.55
Max. Negotiated Rate	$5.97
Rate for Payer: Aetna Commercial	$3.58
Rate for Payer: Aetna Medicare Advantage	$3.58
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.05
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.05
Rate for Payer: Cigna Commercial	$5.97
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.55
Rate for Payer: Oxford Commercial	$5.97
Rate for Payer: Qualcare PPO/HMO/WC	$1.79
Rate for Payer: UnitedHealthcare Commercial	$5.97

TUBING BLOOD SET RENAL D39690

Facility

$26.45

Hospital Charge Code	270608387
Hospital Revenue Code	272
Min. Negotiated Rate	$3.44
Max. Negotiated Rate	$13.22
Rate for Payer: Aetna Commercial	$7.93
Rate for Payer: Aetna Medicare Advantage	$7.93
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$6.74
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$6.74
Rate for Payer: Cigna Commercial	$13.22
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$3.44
Rate for Payer: Oxford Commercial	$13.22
Rate for Payer: Qualcare PPO/HMO/WC	$3.97
Rate for Payer: UnitedHealthcare Commercial	$13.22

TUBING BLOOD SET RENAL D39690

Facility

$26.45

Hospital Charge Code	270608387
Hospital Revenue Code	272
Min. Negotiated Rate	$3.97
Max. Negotiated Rate	$3.97
Rate for Payer: Qualcare PPO/HMO/WC	$3.97

TUBING BLOOD SET V7490

Facility

$36.08

Hospital Charge Code	270040297
Hospital Revenue Code	272
Min. Negotiated Rate	$5.41
Max. Negotiated Rate	$5.41
Rate for Payer: Qualcare PPO/HMO/WC	$5.41

TUBING BLOOD SET V7490

Facility

$36.08

Hospital Charge Code	270040297
Hospital Revenue Code	272
Min. Negotiated Rate	$4.69
Max. Negotiated Rate	$18.04
Rate for Payer: Aetna Commercial	$10.82
Rate for Payer: Aetna Medicare Advantage	$10.82
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$9.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$9.20
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$9.20
Rate for Payer: Cigna Commercial	$18.04
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$4.69
Rate for Payer: Oxford Commercial	$18.04
Rate for Payer: Qualcare PPO/HMO/WC	$5.41
Rate for Payer: UnitedHealthcare Commercial	$18.04

TUBING BLOOD TUBING SET******

Facility

$13.28

Hospital Charge Code	270604507
Hospital Revenue Code	272
Min. Negotiated Rate	$1.73
Max. Negotiated Rate	$6.64
Rate for Payer: Aetna Commercial	$3.98
Rate for Payer: Aetna Medicare Advantage	$3.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.39
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.39
Rate for Payer: Cigna Commercial	$6.64
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.73
Rate for Payer: Oxford Commercial	$6.64
Rate for Payer: Qualcare PPO/HMO/WC	$1.99
Rate for Payer: UnitedHealthcare Commercial	$6.64

TUBING BLOOD TUBING SET******

Facility

$13.28

Hospital Charge Code	270604507
Hospital Revenue Code	272
Min. Negotiated Rate	$1.99
Max. Negotiated Rate	$1.99
Rate for Payer: Qualcare PPO/HMO/WC	$1.99

TUBING BLOOD Y-TYPE SET W/PUMP

Facility

$14.90

Hospital Charge Code	270650123
Hospital Revenue Code	270
Min. Negotiated Rate	$1.94
Max. Negotiated Rate	$7.45
Rate for Payer: Aetna Commercial	$4.47
Rate for Payer: Aetna Medicare Advantage	$4.47
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$3.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$3.80
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$3.80
Rate for Payer: Cigna Commercial	$7.45
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$1.94
Rate for Payer: Oxford Commercial	$7.45
Rate for Payer: Qualcare PPO/HMO/WC	$2.23
Rate for Payer: UnitedHealthcare Commercial	$7.45

TUBING BLOOD Y-TYPE SET W/PUMP

Facility

$14.90

Hospital Charge Code	270650123
Hospital Revenue Code	270
Min. Negotiated Rate	$2.23
Max. Negotiated Rate	$2.23
Rate for Payer: Qualcare PPO/HMO/WC	$2.23

TUBING BMT ASSEMBLY IRR 423824

Facility

$544.85

Hospital Charge Code	270615811
Hospital Revenue Code	272
Min. Negotiated Rate	$70.83
Max. Negotiated Rate	$272.43
Rate for Payer: Aetna Commercial	$163.46
Rate for Payer: Aetna Medicare Advantage	$163.46
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$138.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$138.94
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$138.94
Rate for Payer: Cigna Commercial	$272.43
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$70.83
Rate for Payer: Oxford Commercial	$272.43
Rate for Payer: Qualcare PPO/HMO/WC	$81.73
Rate for Payer: UnitedHealthcare Commercial	$272.43

TUBING BMT ASSEMBLY IRR 423824

Facility

$544.85

Hospital Charge Code	270615811
Hospital Revenue Code	272
Min. Negotiated Rate	$81.73
Max. Negotiated Rate	$81.73
Rate for Payer: Qualcare PPO/HMO/WC	$81.73

TUBING BURETT MINIDRIP NF3115

Facility

$83.25

Hospital Charge Code	270040241
Hospital Revenue Code	272
Min. Negotiated Rate	$10.82
Max. Negotiated Rate	$41.62
Rate for Payer: Aetna Commercial	$24.98
Rate for Payer: Aetna Medicare Advantage	$24.98
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Indemnity	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) Managed Care	$21.23
Rate for Payer: Blue Cross Blue Shield of New Jersey (Horizon) PPO	$21.23
Rate for Payer: Cigna Commercial	$41.62
Rate for Payer: MagnaCare PPO/Direct Plus/Exchange/WC	$10.82
Rate for Payer: Oxford Commercial	$41.62
Rate for Payer: Qualcare PPO/HMO/WC	$12.49
Rate for Payer: UnitedHealthcare Commercial	$41.62

TUBING BURETT MINIDRIP NF3115

Facility

$83.25

Hospital Charge Code	270040241
Hospital Revenue Code	272
Min. Negotiated Rate	$12.49
Max. Negotiated Rate	$12.49
Rate for Payer: Qualcare PPO/HMO/WC	$12.49

Know your out-of-pocket cost for care.

All Charges